Luminis Health Medical Group, LLC
Obstetrics & Gynecology in Centreville, MD. Organization (NPI-2).
NPI number1245032291
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1245032291
- Entity type
- Organization (NPI-2)
- Legal business name
- Luminis Health Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2025
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
202 Coursevall DrCentreville, MD 21617-2804
Phone 443-481-1000
Mailing address
2000 Medical Pkwy Ste 409Annapolis, MD 21401-3746
Phone 443-481-5136 · Fax 443-481-4151
Authorized official
Melissa Rapattoni
Ao
4434815136
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